Education

African Coalition Drives Evidence-Based Health Action

The Coalition for Health Research and Development (CHREAD) has reaffirmed its commitment to advancing evidence-based health policy and scientific collaboration following a recent coordination meeting that brought together civil society, research institutions, and development partners. CHREAD plans to strategically position its work at events, including the World Health Assembly and an upcoming Culture of Science Conference, to advocate for sustainable health financing and stronger research ecosystems. Speaking during the stakeholders’ meeting, Imali Ngusale, the Strategic Lead at the African Centre for Health, Climate and Gender Justice Alliance, said, “We are at the dawn of an interesting setting where the health and well-being of every individual in Kenya warrants attention.” Ngusale also said that the coalition’s renewed push aligns with critical national and global health priorities. Accordingly, Gloria Nduku from WACI Health said that research for health is an ongoing priority for CHREAD. Nduku further noted that enhancing partner coordination remains a priority, and the coalition is well-equipped and mandated to do so. “We are focused on finalising our joint timelines and clearly defining roles to amplify our impact,” added Gloria while advocating for more cohesion in the coalition. The coalition, active for over a decade, reviewed progress under its CASH initiative and identified key engagement platforms like the Kenya Lung Health Conference and the Culture of Science Conference, scheduled for later this year.Evaline Kibuchi from STOP TB said,” For the last 15 years, I have seen some improvement in tackling TB.” Kibuchi further added that she was glad that the CHREAD coalition is committed to ensuring diagnoses are well done.”Mary Muia from NOPE acknowledged the coalition’s priorities as “quintessential,” but noted a long road ahead in ensuring equal access to health services, including diagnostics and curative care. Jane Nganga added that the coalition is operating at a critical time. “Health policies in Kenya and in Africa as a whole warrant a fresh commitment,” she said. CHREAD Coordinator Samuel Makau provided updates on the alliance’s coordination as it outlined a first-quarter focus on strengthening partnerships and advancing joint programmes.

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Curbing the Silent Epidemic: Tackling Antimicrobial Resistance in Narok County’s Livestock

Introduction Antimicrobial resistance (AMR) is a ticking time bomb in livestock management worldwide. In Narok County, Kenya, the overuse of antibiotics to treat livestock diseases has created a perfect storm for AMR to thrive. This article sheds light on the grave consequences of AMR, its impact on both animal and human health, and the urgent need for sustainable and responsible antibiotic use in livestock farming. What is Antimicrobial Resistance (AMR)? AMR happens when bacteria develop the ability to resist antibiotics, making treatments less effective. In Narok County, farmers often use antibiotics for common livestock problems like infections and stomach issues. However, using too much or misusing antibiotics can lead to resistant bacteria, reducing the effectiveness of these treatments over time. How Are Antibiotics Used in Narok County? In Narok, many farmers give antibiotics to their animals without consulting veterinarians. Some farmers administer doses that are four times the recommended amount. Around 90% of pastoralists handle their own livestock treatments, leading to the misuse of antibiotics and an increased risk of AMR. The Dangers of AMR in Livestock Harder to Treat Livestock Diseases: When bacteria become resistant, common livestock diseases become harder to treat, leading to prolonged illness and even death. Higher Costs for Farmers: Farmers may need to switch to more expensive treatments when antibiotics stop working, which can harm their financial stability. Health Risks for Humans: AMR in livestock can be transferred to humans through meat, milk, or direct contact with animals, causing infections that are difficult to treat. Environmental Impact: Resistant bacteria can spread through animal waste, contaminating soil and water, and affecting public health. Preventing AMR in Narok County Educating Farmers: Farmers need to be aware of how to use antibiotics correctly and the risks of AMR. Workshops and training programs can help spread this knowledge. Veterinary Supervision: Ensuring that antibiotics are only used under the guidance of veterinarians will help prevent misuse. Stronger regulations on antibiotic sales and usage are also needed. Tracking Antibiotic Use: Setting up systems to monitor how antibiotics are being used and testing for resistance can help manage AMR effectively. Using Alternative Treatments: Encouraging farmers to use vaccines, better hygiene, and other preventive measures will reduce the need for antibiotics. Developing Policies: ACHCGA advocates for collaboration with the government and other organizations to create policies that effectively address AMR. Conclusion AMR is a growing issue in Narok County, affecting animal health, human safety, and the economy. ACHCGA promotes education, veterinary guidance, and alternative treatment methods to combat AMR. By acting now, Narok County can protect its livestock and residents from the dangers of antimicrobial resistance.

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A New Partnership for Climate Action, Health, and Gender Justice

Today marked a significant milestone as representatives from the YALI Alumni Chapter of Kenya and the African Center for Health, Climate & Gender Justice Alliance (ACHCGA) gathered to discuss potential collaborations. Both organizations are deeply committed to addressing the pressing global challenges outlined in the United Nations Sustainable Development Goals (SDGs). The meeting held today sparked vibrant discussions on how these dynamic entities can leverage their collective strengths to advance climate action, health, and gender equity across the African continent. For over a decade, the YALI Alumni Chapter of Kenya has been at the forefront of driving youth-led initiatives. ACHCGA is pleased to be a pioneering voice in advancing climate justice, health equity, and gender rights in collaboration with YALI. Key areas of focus included climate action and its intersection with gender and health, and the importance of youth leadership in advancing the SDGs. Both organizations envision a future where African communities can not only withstand climate shocks but thrive in an environment of inclusivity and sustainability. The meeting concluded with an agreement to build strong partnerships with government institutions, civil society, and international stakeholders. This collaboration is a testament to the power of collective action and the role that both youth and civil society can play in shaping a more just and equitable future for all.

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Groundbreaking Insights at the 2024 AIDS Forum in Munich

In 2024, the African Center for Health, Climate & Gender Justice Alliance (ACHCGA), in close collaboration with AMREF, made a significant impact at the AIDS Forum in Munich, Germany. This event, central to global health research and development, served as a critical platform for discussing the complex intersection between climate change and its potential repercussions on HIV treatment and prevention efforts.   As the world grapples with the escalating impacts of climate change, another battle continues to wage, the fight against HIV and AIDS. Since its emergence, HIV has claimed millions of lives, remaining a formidable public health challenge. Increasingly, the link between climate change and HIV is becoming clear, particularly in vulnerable regions where the two crises converge. This convergence demands urgent action from all stakeholders to address the twin challenges of climate change and HIV.   According to WHO statistics, HIV has claimed the lives of 42.3 million people worldwide. Despite advances in medical technology, prevention, and treatment, the disease continues to affect millions. As of 2023, over 39.9 million people were living with HIV, with a staggering 65% of the global burden falling on the African continent. New infections in 2023 numbered 1.3 million, and there were 630,000 deaths related to the disease. This enduring crisis is further complicated by the growing impact of climate change, particularly in regions still developing or facing infrastructural challenges. The correlation between HIV infection rates and climate change is becoming increasingly evident. Changing weather patterns, rising temperatures, and shifting disease dynamics have escalated into a public health emergency. In many HIV-endemic regions, such as Kenya, climate change exacerbates an already fragile healthcare infrastructure. Frequent droughts, famine, floods, and other climate-induced disruptions hinder the delivery of essential services, including HIV testing, treatment, and care. Health facilities often become inaccessible or damaged, leading to interruptions in critical services like antiretroviral therapy. Such disruptions can have dire consequences for people living with HIV, undermining the progress made over decades. Those most affected by climate change—people living below the poverty line, marginalized groups, rural communities, women, and young people—are often the same populations disproportionately impacted by HIV and AIDS. Climate change intensifies socio-economic vulnerabilities, increasing the risk of HIV transmission. This duality underscores the urgent need for integrated approaches that address both environmental and health inequities, providing a more holistic response to these intertwined crises. The intersection of climate change and HIV/AIDS places immense pressure on resource-strapped low-income countries. Funding that could support HIV prevention and treatment often gets diverted to immediate climate disaster responses. The urgent demand for resources to mitigate climate change can overshadow the need for sustained investment in HIV/AIDS programs, jeopardizing the gains made over recent decades. At the 2024 AIDS Forum in Munich, Maureen Achieng, a leading researcher with AMREF, highlighted this dilemma: “The climate crisis is not just an environmental issue; it is a public health emergency that is making it increasingly difficult to control the HIV/AIDS epidemic in regions like Sub-Saharan Africa. There’s a need for integrated approaches that address both environmental and health inequities to ensure that the strides we’ve made so far in HIV prevention and treatment are not undone.” She further emphasized the critical role of meaningful youth engagement in decision-making processes, noting that young people are not only the backbone of vibrant economies but also bear the brunt of both crises. The forum underscored the necessity for a multifaceted response to the HIV/AIDS and climate change nexus. Public health strategies and policies must incorporate climate resilience to ensure the uninterrupted flow of HIV/AIDS programs in the face of environmental challenges. This entails addressing the social determinants of health that climate change exacerbates and strengthening health infrastructure to withstand environmental disruptions. Global health policies must advocate for increased financing and resource allocation to tackle both crises simultaneously. International organizations, governments, and NGOs must work collaboratively to establish integrated policies that meet urgent health needs while enhancing resilience against climate change.

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